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Ingested foreign body, to remove or not to remove

Gastroenterology and Liver Unit, Freeman Hospital, Newcastle upon Tyne, UK

Correspondence to:
Correspondence to:
Dr N Thompson
Gastroenterology and Liver Unit, Freeman Hospital, High Heaton, Newcastle upon Tyne NE7 7DN, UK; Nick.Thompson@nuth.nhs.uk

Keywords: foreign body removal; endoscopy; narcotics

The first 150 words of the full text of this article appear below.

Clinical presentation
A 24 year old male was admitted having swallowed a packet containing 17 tablets of buprinorphine (subatex) and complaining of dysphagia and odynophagia. On examination he was haemodynamically stable with a respiratory rate of 15/min and saturating at 96% on room air. Clinical examination was unremarkable and a chest x ray was normal. Endoscopy was requested by his admitting team.

At endoscopy the patient’s oesophagus was normal and a packet of about 5x2x3 cm in size was seen in the stomach (fig 1).

View larger version (59K): [in this window] [in a new window]   Figure 1  Endoscopy of the stomach showing a packet of about 5x2x3 cm in size.

• Do nothing hoping that it would pass naturally?
  
• Retrieve using polypectomy snare or stone removal basket?
  
• Retrieve using Roth net?
  
• Do nothing and refer the patient for surgical removal of the packet?
  

See page 1155 for answer

This case is . . . [Full text of this article]

Related Article

Answer
Gut 2006 55: 1155. [Extract] [Full Text] [PDF]